| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $493.56 | $5,672.00 | $12,941.00 | |
Anthem BCBS
| Facility | $2,361.69 | $10,174.93 | $34,380.73 | |
Kaiser Permanente
| Professional | $468.64 | $531.79 | $720.01 | |
United
| Facility | $1,036.00 | $3,629.00 | $10,000.00 |